Delay in the Diagnosis of Breast and Colorectal Cancer in People With Severe Mental Disorders
| Autor: | Pedro Céspedes, Rafael Vila-Candel, Vanessa Sánchez-Martínez, Omar Cauli, Guillem Lera-Calatayud, Cristina Buigues |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Delayed Diagnosis Colorectal cancer Population Breast Neoplasms Mental disorders Colorectal neoplasms 03 medical and health sciences 0302 clinical medicine Breast cancer Internal medicine Cancer screening Odds Ratio Humans Medicine education Early Detection of Cancer Aged Retrospective Studies education.field_of_study 030504 nursing Oncology (nursing) business.industry Mental Disorders Retrospective cohort study Odds ratio Middle Aged medicine.disease Mental health Oncology Spain Case-Control Studies Early detection of cancer 030220 oncology & carcinogenesis Relative risk Neoplasm staging Female Breast neoplasms Colorectal Neoplasms 0305 other medical science business |
| Zdroj: | Cancer nursing r-FISABIO. Repositorio Institucional de Producción Científica instname r-FISABIO: Repositorio Institucional de Producción Científica Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO) |
| ISSN: | 1538-9804 0162-220X |
| DOI: | 10.1097/ncc.0000000000000727 |
| Popis: | Background People with severe mental disorders have a worse cancer prognosis, with higher mortality rates than the general population, and this could be partially attributed to a later detection. Breast cancer and colorectal cancer have mass population screenings in Spain, but the influence in early diagnosis is unknown in persons with severe mental disorders. Objective To compare the severity of breast and colorectal cancers at diagnosis in people with and without mental disorders. Methods This was an observational, retrospective, case-control study with 1:2 matching performed in Eastern Spain. Data were retrieved for analysis from electronic medical records. Results The study included 111 oncology patients (75 with breast cancer and 36 with colorectal cancer). Individuals with mental disorders had a significantly higher (P = .002) relative risk (odds ratio [OR], 3.93; 95% confidence interval [CI], 1.60-9.65) to be diagnosed with an advanced tumor stage (clinical stages IIIA, IIIB, IIIC, and IV), for both breast and colorectal cancers when analyzed separately. The variables associated with advanced cancer at the time of diagnosis were the presence of a previous mental disorder (OR, 4.67; 95% CI, 1.73-12.61) and older age (OR, 1.08; 95% CI, 1.02-1.14). Conclusions Individuals with severe mental disorders showed a higher risk of being diagnosed with breast and colorectal cancers at advanced stages. Implications for Practice: Cancer screening for earlier detection and intervention in people with severe mental disorders needs improvement. Mental health nurses, screening nurses, and oncology nurses could serve an essential role in increasing the screening adherence of this group of individuals. |
| Databáze: | OpenAIRE |
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